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[Gigantism with low serum level of growth hormone: a case report].
Ran, X; Zhang, L; Xiong, P; Zhao, T; Tong, N; Li, X.
Afiliación
  • Ran X; Endocrinology/Internal Medicine, First Affiliated Hospital, WCUMS, Chengdu 610041, China.
Hua Xi Yi Ke Da Xue Xue Bao ; 32(4): 621-3, 2001 Dec.
Article en Zh | MEDLINE | ID: mdl-12528568
Gigantism with low or normal basal concentrations of growth hormone (GH) is a rare condition, possibly due to abnormal GH secretory patterns, enhanced tissue sensitivity to GH, or the existence of an unidentified growth promoting factor. Here we report an 11 year-old female case of gigantism with a normal pituitary gland. Her height was 181 cm, body weight 77 kg, and bone age 11.1 years. Her basal serum GH levels were lower than 1 ng/ml. The levels of T3, T4, FT3, FT4, TSH, E2, LH, FSH, PRL, PTC and ACTH were normal. Serum GH response to insulin-induced hypoglycemia or arginine stimulation tests was blunted. In this case, non-pulsatile GH secretion and enhanced tissue sensitivity to GH may induce hypersecretion of IGF-1 and the existence of an unidentified growth promoting factor or biologically active anti-GH receptor antibodies may cause clinical gigantism.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hormona del Crecimiento / Gigantismo Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: Zh Revista: Hua Xi Yi Ke Da Xue Xue Bao Asunto de la revista: MEDICINA Año: 2001 Tipo del documento: Article País de afiliación: China Pais de publicación: China
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hormona del Crecimiento / Gigantismo Tipo de estudio: Diagnostic_studies Límite: Child / Female / Humans Idioma: Zh Revista: Hua Xi Yi Ke Da Xue Xue Bao Asunto de la revista: MEDICINA Año: 2001 Tipo del documento: Article País de afiliación: China Pais de publicación: China